An editorial in the August 7 issue of The Lancet painted a bleak picture of the work of WHO in the African Region, giving the impression that WHO is not recording any successes there. In fact, despite the challenges of poverty and ongoing instability, the opposite is true. For example, in spite of recent political difficulties, the number of polio-endemic countries in the African Region has fallen from 20 in 1999 to just two today. Huge efforts are underway to eliminate the disease completely.